Pathology EMQ template.

Name: Risheka Ratnasabapathy

Candidate number: ratnasab

Theme: Potassium Handling

OPTION LIST

A

Hyperkalaemia

I

TB

B

Hypokalaemia

J

Diuretics

C

Conns

K

Pseudohyperkalaemia

D

Hypoinsulinaemia

L

Cushings Syndrome

E

Addisonian Crisis

M

Fluid restriction

F

Diabetic ketoacidosis

N

Calcium gluconate

G

Rhabdomyolysis

O

iv K 100mmol/hr

H

Salt posioning

P

iv K 20mmol/hr

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. This alteration in plasma K concentration often manifests itself as a cardiac arrest.

 

2. A 40 year old patient with no previous medical history presents to A&E with shock. Tests reveal hypovolaemia, hypoglycaemia, raised K and decreased Na. What is the most likely diagnosis?

 

3. A 55year old man has been trapped beneath his car for 6 hours and sustained multiple crush injuries. Biochemistry shows raised K. What is the most likely cause?

 

4. What treatment should be given to correct severe K depletion?

 

5. A 68 year old patient suffering from a haematological malignancy has raised K. ECG shows no changes and doctors are unable to find any apparent cause. What is the most likely diagnosis?

 

 

ANSWERS

1. A

2. E

3. G

4. P

5. K